A Case of Rumination Syndrome with Simultaneous Repeatetive Contractions in Ambulatory 24 hour Antroduodenal Manometry.
- Author:
Kwon Ho RYU
1
;
Joon Seong LEE
;
Hee Hyuk LIM
;
Chang Bum YOO
;
Jin Oh KIM
;
Joo Young CHO
;
Moon Sung LEE
;
Chan Sup SHIM
;
Boo Sung KIM
Author Information
1. Institute for Digestive Research, College of Medicine, Soon Chun Hyang University, Seoul, Korea. joonlee@hosp.sch.ac.kr
- Publication Type:Case Report
- Keywords:
Rumination syndrome;
R waves;
Antroduodenal manometry
- MeSH:
Adult;
Diagnosis;
Humans;
Intestine, Small;
Male;
Manometry*;
Middle Aged;
Mouth;
Prevalence;
Stomach
- From:Korean Journal of Gastrointestinal Motility
2001;7(2):239-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rumination syndrome is defined as a regurgitation of recently ingested food into the mouth with subsequent remastication and reswallowing or spitting out, and absence of structural disease. This is infrequent in adults of normal mental capacity. The true prevalence of rumination syndrome is unknown because few people have medical attention and most of physicians do not recognize this syndrome as a disease. Upper gastrointestinal manometry has been reported to show a characteristic pattern that confirms the diagnosis, namely, the occurrence of synchronous pressure spikes termed "R waves" at all levels in the stomach and small intestine. We assessed a 49-year-old male patient who complained of frequent effortless regurgitation of food. Ambulatory short-segment antroduodenal manometry with pH-metry showed simultaneous repeatetive contractions in all segments associated with regurgitation.
